Criteria for successful hepatitis B vaccination in adults: results of a case study.

BACKGROUND: Active immunization is the most important measure for controlling hepatitis B (HB) virus infection. The outcome of HB vaccination has been investigated in only a very small number of cohort studies, some of which found a number of cases of HBV infection. MATERIAL AND METHODS: Using a des...

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Publicado en:Infection Vol. 37; no. 3; pp. 266 - 270
Autores principales: Hofmann F, Kralj N
Formato: case study Journal Article
Publicado: Springer Nature Jun2009
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Criteria for successful hepatitis B vaccination in adults: results of a case study.
      aug:
        au:
          Hofmann F
          Kralj N
        affil: Chair for Physiology Occupational Medicine and Prevention of Infectious diseases, University of Wuppertal, Gauss Str. 20, 42349, Wuppertal, Germany.
      sug:
        subj:
          Antibodies, Viral Blood
          Health Personnel
          Hepatitis B Vaccines Administration and Dosage
          Hepatitis B Prevention and Control
          Hepatitis Viruses Immunology
          Occupational Diseases Prevention and Control
          Female
          Hepatitis B Vaccines Immunology
          Hepatitis B Epidemiology
          Immunization
          Immunization Schedule
          Male
          Occupational Diseases Epidemiology
          Treatment Outcomes
          Female
          Male
      ab: BACKGROUND: Active immunization is the most important measure for controlling hepatitis B (HB) virus infection. The outcome of HB vaccination has been investigated in only a very small number of cohort studies, some of which found a number of cases of HBV infection. MATERIAL AND METHODS: Using a design different from that of earlier studies, we have investigated the occurrence of HBV infection and clinical HB disease in individuals who had a complete HB vaccination series. Reported cases of HB/HBV infections among 1235 German health care workers (HCW) were analyzed with special regard to the question of whether or not HB vaccination had taken place in the past. RESULTS: 23 persons had undergone a complete vaccination series with complete documentation: 18 were non-responders (post-vaccination anti-HBs < 10 IU/l), one was a low-responder (anti-HBs < 100 IU/l), and four were responders (100 IU/l).While all responders seroconverted without clinical sign of hepatitis, ten non-/low-responders contracted chronic HB/HBV infection and seven contracted self-limiting HB. CONCLUSION: Vaccination should be only regarded as 'successful', if the post-vaccination anti-HBs concentration is at least 100 IU/l.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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